Alfred E Bacon III, MD

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

C10002927 Issued in DE

Practice address

78 Omega Dr
BLDG C
Newark, DE 19713-2064

Phone

(302) 368-2883

Fax

(302) 368-2892

NPI assigned

Dec 13, 2006

Last updated

Jan 9, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Infectious Disease

Education

Jefferson Medical College of Thomas Jefferson University, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Infectious Disease Associates PAGroup PAC ID 1052337201, 12 clinicians

Christiana Care Health Services IncGroup PAC ID 9739097569, 1,480 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christiana Hospital Hospital, Newark, DE, CCN 080001

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alfredbacon@ida.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Infectious Disease Associates PA

  • Infectious Disease Physician
  • Newark, DE
  • NPI 1205904679
  Medicare reassignment Care Compare group Authorized official
• Christiana Care Health Services, Inc

  dba CCHS Pmri

  • Endocrinology, Diabetes & Metabolism Physician
  • Wilmington, DE
  • NPI 1770568107
  Medicare reassignment Care Compare group NPD
• Christiana Care Health Services, Inc

  dba CCHS Surgery

  • Surgery Physician
  • Newark, DE
  • NPI 1407831894

  Infectious Disease

  NPD
• Christiana Care Health Services Inc

  dba CCHS Concord - Neurology

  • Neurology Physician
  • Chadds Ford, PA
  • NPI 1881228484
  NPD
• Brain Spa de LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wilmington, DE
  • NPI 1861081499
  NPD (past)
• Christiana Medical Group, PA

  • Hospitalist Physician
  • Newark, DE
  • NPI 1841231149
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Christiana Care Health Services, Inc.

  dba Christiana Care

  • General Acute Care Hospital
  • Wilmington, DE
  • NPI 1134194038
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1902967508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 OMEGA DR",
            "address_2": "BLDG C",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132064",
            "telephone_number": "302-368-2883",
            "fax_number": "302-368-2892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 OMEGA DR",
            "address_2": "BLDG C",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132064",
            "telephone_number": "302-368-2883",
            "fax_number": "302-368-2892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACON",
        "first_name": "ALFRED",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "DE",
            "license": "C10002927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000113601",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dongho Baag, M.D.
• Ashley L Bach, LMT
• David R Bachkosky, PA C
• Samantha T Bachman
• Fahim Bachu, DO
• Ronetia Bacon
• Danielle Badillo
• Jennifer Badillo, CLD
• Sung Ho Bae, MD
• Hee Jong Baek

• Infectious Disease Physician in Newark, DE
• Providers in Newark, DE by specialty
• Infectious Disease Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.